Use of potentially dangerous drugs in an Intensive Care Unit
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/5831 |
Resumo: | Objectives: To analyze the use of potentially dangerous drugs in an intensive care unit. Methods: Cross-sectional study, observational, performed in an intensive care unit of a university hospital in Rio de Janeiro. Data were collected from March to June 2018. The first stage corresponded to the evaluation of 523 drug prescriptions, through a checklist to identify the most frequent potentially dangerous drugs, based on the list of the Institute for Safe Practices in the Use of Medicines. In the second stage, 248 observations were made at the bedside, seeking to identify the best practices, recommended in the investigated unit, for drug safety. The variables were: identification with the name of the drug in the infusion pumps and equipment, in addition to the warning signal on the equipment, with colors recommended in the unit of the study for this purpose. The data were analyzed through simple descriptive statistics and by inference, performed through R, with a significance level of 5%. Results: There were 6,286 drugs in the prescriptions. Of these, 1,397 (22%) were considered potentially dangerous, the most commonly used being enoxaparin (256 - 18.3%). The frequency of potentially dangerous drugs was between 0 and 8.69. As regards good practices for drug safety, verificor that amongthe 443 infusion pumps observed; the name of the medicinal product was present in 441 (99.6%) of these and in 429 (96.8%) equipos. Salert inhalers were identified in 392 (88.6%) equipment. Conclusion: The highest frequency occurred with enoxaparin and intravenous infusion of potentially dangerous drugs occurred satisfactorily. |
id |
UNIFEI_7fca8655f137030f654c5c58e9bcd7d9 |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/5831 |
network_acronym_str |
UNIFEI |
network_name_str |
Research, Society and Development |
repository_id_str |
|
spelling |
Use of potentially dangerous drugs in an Intensive Care UnitUso de medicamentos potencialmente peligrosos en una Unidad de Terapia IntensivaUso de medicamentos potencialmente perigosos em uma Unidade de Terapia IntensivaSeguridad del pacienteUnidades de Cuidados IntensivosGestión de riesgos.Segurança do pacienteUnidades de Terapia IntensivaGerenciamento de risco.Patient safetyIntensive Care UnitsRisk management.Objectives: To analyze the use of potentially dangerous drugs in an intensive care unit. Methods: Cross-sectional study, observational, performed in an intensive care unit of a university hospital in Rio de Janeiro. Data were collected from March to June 2018. The first stage corresponded to the evaluation of 523 drug prescriptions, through a checklist to identify the most frequent potentially dangerous drugs, based on the list of the Institute for Safe Practices in the Use of Medicines. In the second stage, 248 observations were made at the bedside, seeking to identify the best practices, recommended in the investigated unit, for drug safety. The variables were: identification with the name of the drug in the infusion pumps and equipment, in addition to the warning signal on the equipment, with colors recommended in the unit of the study for this purpose. The data were analyzed through simple descriptive statistics and by inference, performed through R, with a significance level of 5%. Results: There were 6,286 drugs in the prescriptions. Of these, 1,397 (22%) were considered potentially dangerous, the most commonly used being enoxaparin (256 - 18.3%). The frequency of potentially dangerous drugs was between 0 and 8.69. As regards good practices for drug safety, verificor that amongthe 443 infusion pumps observed; the name of the medicinal product was present in 441 (99.6%) of these and in 429 (96.8%) equipos. Salert inhalers were identified in 392 (88.6%) equipment. Conclusion: The highest frequency occurred with enoxaparin and intravenous infusion of potentially dangerous drugs occurred satisfactorily.Objetivos: Analizar el uso de drogas potencialmente peligrosas en una unidad de cuidados intensivos. Métodos: Estudio transversal, observacional, mantenido en una unidad de cuidados intensivos de un hospital universitario de Río de Janeiro. Los datos se recopilaron de marzo a junio de 2018. La primera etapa correspondió a la evaluación de 523 recetas de medicamentos, através de una lista de verificación para identificar los medicamentos potencialmente peligrosos más frecuentes, basado en la lista del Instituto de Prácticas Seguras en el Uso de Medicamentos. En la segunda etapa, se hicieron 248 observaciones junto a la cama, buscando identificar las mejores prácticas, recomendadas en la unidad investigada, para la seguridad de los medicamentos. Las variables fueron: identificación con el nombre del medicamento en las bombas y equipos de perfusión, equipos además de la señal de advertencia en el equipo, con colores recomendados en la unidad del estudio para este fin. Los datos se analizaron a través de estadísticas descriptivas simples y por inferencia, realizadas a través de R, con un nivel de significancia del 5%. Resultados: Había 6.286 medicamentos en las recetas. De ellos, 1.397 (22%) se consideraron potencialmente peligrosos, siendo el más utilizado la enoxaparina (256 - 18,3%). La frecuencia de las drogas potencialmente peligrosas estaba entre 0 y 8.69. Por lo que se refiere a las buenas prácticas para la seguridad de los medicamentos, verifico que entre las 443 bombas de perfusión observadas, el nombre del medicamento estuvo presente en 441 (99,6%) de estos y en 429 (96,8%) equipos. Se identificaron inhaladores de alerta S en 392 (88,6%) equipos. Conclusión: La frecuencia más alta ocurrió con enoxaparina y la perfusión intravenosa de drogas potencialmente peligrosas ocurrió satisfactoriamente.Objetivos: Analisar o uso de medicamentos potencialmente perigosos em uma unidade de terapia intensiva. Métodos: Estudo transversal, observacional, realizado em uma unidade de terapia intensiva de um hospital universitário do Rio de Janeiro. Os dados foram coletados de março a junho de 2018. A primeira etapa correspondeu à avaliação de 523 prescrições medicamentosas, através de um check-list para identificar os medicamentos potencialmente perigosos mais frequentes, com base na lista do Instituto para Práticas Seguras no uso de Medicamentos. Na segunda etapa, foram realizadas 248 observações à beira leito, buscando identificar as boas práticas, recomendadas na unidade investigada, para segurança medicamentosa. As variáveis foram: identificação com o nome do medicamento nas bombas infusoras e nos equipos, além da sinalização de alerta no equipo, com cores preconizadas na unidade do estudo para este fim. Os dados foram analisados através de estatística descritiva simples e por inferência, realizada através do R, com nível de significância de 5%. Resultados: Verificou-se 6.286 medicamentos nas prescrições. Destes, 1.397 (22%) foram considerados potencialmente perigosos, sendo o mais utilizado a enoxaparina (256 - 18,3%). A frequência dos medicamentos potencialmente perigosos esteve entre 0 e 8,69. Quanto às boas práticas para a segurança medicamentosa, verificou-se que dentre as 443 bombas infusoras observadas; o nome do medicamento estava presente em 441 (99,6%) destas e em 429 (96,8%) equipos. Sinalizadores de alerta foram identificados em 392 (88,6%) equipos. Conclusão: A maior frequência se deu com a enoxaparina e a infusão venosa de medicamentos potencialmente perigosos se deu de forma satisfatória.Research, Society and Development2020-07-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/583110.33448/rsd-v9i8.5831Research, Society and Development; Vol. 9 No. 8; e499985831Research, Society and Development; Vol. 9 Núm. 8; e499985831Research, Society and Development; v. 9 n. 8; e4999858312525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/5831/5088Copyright (c) 2020 Ludmila do Couto Fagundes, Luana Ferreira de Almeida, Flavia Giron Camerini, Renata de Oliveira Maciel, Vanessa Galdino de Paula, Danielle de Mendonça Henrique, Cíntia Silva Fassarellahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFagundes, Ludmila do CoutoAlmeida, Luana Ferreira deCamerini, Flavia GironMaciel, Renata de OliveiraPaula, Vanessa Galdino deHenrique, Danielle de MendonçaFassarella, Cíntia Silva2020-08-20T18:00:17Zoai:ojs.pkp.sfu.ca:article/5831Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:29:13.462034Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Use of potentially dangerous drugs in an Intensive Care Unit Uso de medicamentos potencialmente peligrosos en una Unidad de Terapia Intensiva Uso de medicamentos potencialmente perigosos em uma Unidade de Terapia Intensiva |
title |
Use of potentially dangerous drugs in an Intensive Care Unit |
spellingShingle |
Use of potentially dangerous drugs in an Intensive Care Unit Fagundes, Ludmila do Couto Seguridad del paciente Unidades de Cuidados Intensivos Gestión de riesgos. Segurança do paciente Unidades de Terapia Intensiva Gerenciamento de risco. Patient safety Intensive Care Units Risk management. |
title_short |
Use of potentially dangerous drugs in an Intensive Care Unit |
title_full |
Use of potentially dangerous drugs in an Intensive Care Unit |
title_fullStr |
Use of potentially dangerous drugs in an Intensive Care Unit |
title_full_unstemmed |
Use of potentially dangerous drugs in an Intensive Care Unit |
title_sort |
Use of potentially dangerous drugs in an Intensive Care Unit |
author |
Fagundes, Ludmila do Couto |
author_facet |
Fagundes, Ludmila do Couto Almeida, Luana Ferreira de Camerini, Flavia Giron Maciel, Renata de Oliveira Paula, Vanessa Galdino de Henrique, Danielle de Mendonça Fassarella, Cíntia Silva |
author_role |
author |
author2 |
Almeida, Luana Ferreira de Camerini, Flavia Giron Maciel, Renata de Oliveira Paula, Vanessa Galdino de Henrique, Danielle de Mendonça Fassarella, Cíntia Silva |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Fagundes, Ludmila do Couto Almeida, Luana Ferreira de Camerini, Flavia Giron Maciel, Renata de Oliveira Paula, Vanessa Galdino de Henrique, Danielle de Mendonça Fassarella, Cíntia Silva |
dc.subject.por.fl_str_mv |
Seguridad del paciente Unidades de Cuidados Intensivos Gestión de riesgos. Segurança do paciente Unidades de Terapia Intensiva Gerenciamento de risco. Patient safety Intensive Care Units Risk management. |
topic |
Seguridad del paciente Unidades de Cuidados Intensivos Gestión de riesgos. Segurança do paciente Unidades de Terapia Intensiva Gerenciamento de risco. Patient safety Intensive Care Units Risk management. |
description |
Objectives: To analyze the use of potentially dangerous drugs in an intensive care unit. Methods: Cross-sectional study, observational, performed in an intensive care unit of a university hospital in Rio de Janeiro. Data were collected from March to June 2018. The first stage corresponded to the evaluation of 523 drug prescriptions, through a checklist to identify the most frequent potentially dangerous drugs, based on the list of the Institute for Safe Practices in the Use of Medicines. In the second stage, 248 observations were made at the bedside, seeking to identify the best practices, recommended in the investigated unit, for drug safety. The variables were: identification with the name of the drug in the infusion pumps and equipment, in addition to the warning signal on the equipment, with colors recommended in the unit of the study for this purpose. The data were analyzed through simple descriptive statistics and by inference, performed through R, with a significance level of 5%. Results: There were 6,286 drugs in the prescriptions. Of these, 1,397 (22%) were considered potentially dangerous, the most commonly used being enoxaparin (256 - 18.3%). The frequency of potentially dangerous drugs was between 0 and 8.69. As regards good practices for drug safety, verificor that amongthe 443 infusion pumps observed; the name of the medicinal product was present in 441 (99.6%) of these and in 429 (96.8%) equipos. Salert inhalers were identified in 392 (88.6%) equipment. Conclusion: The highest frequency occurred with enoxaparin and intravenous infusion of potentially dangerous drugs occurred satisfactorily. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/5831 10.33448/rsd-v9i8.5831 |
url |
https://rsdjournal.org/index.php/rsd/article/view/5831 |
identifier_str_mv |
10.33448/rsd-v9i8.5831 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/5831/5088 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 9 No. 8; e499985831 Research, Society and Development; Vol. 9 Núm. 8; e499985831 Research, Society and Development; v. 9 n. 8; e499985831 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052830452809728 |